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BHAWAN YAMRAJ MD
NPI 1043256423
Family Medicine in Lexington, KY

Active since June 22, 2006PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
245 FOUNTAIN CT STE 120, LEXINGTON, KY 40509(859) 218-2626(859) 257-3322 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bhawan Yamraj Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BHAWAN YAMRAJ MD (NPI 1043256423) is an individual family medicine provider in Lexington, Kentucky, licensed in Kentucky (38038) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1043256423
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBHAWAN YAMRAJCredential: MD
Location Address245 FOUNTAIN CT STE 120Lexington, KY 40509-2792
Mailing AddressPo Box 550Vanceburg, KY 41179-0550 · (606) 796-3029 · Fax (606) 796-6221
Phone(859) 218-2626
Fax(859) 257-3322
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJune 22, 2006
Last NPPES UpdateOctober 22, 2025
NPPES CertifiedOctober 22, 2025
✔ NPI 1043256423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in KY · 38038✔ Licensed in OH · 35086408✔ Licensed in CA · A86703
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
245 FOUNTAIN CT STE 120, Lexington, KY 40509
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1201 E Lakeview AveWoodlake, CA 93286-1301 · Phone (877) 960-3426 · Fax (559) 737-4921
Location 2645 Interstate DrGrayson, KY 41143-1704 · Phone (606) 474-0669 · Fax (502) 227-4965

Other Identifiers 3

Medicaid3810003784WV
Medicaid2574923OH
Medicaid64056633KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bhawan Yamraj Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567432776
PECOS Enrollment IDI20040727000466, I20260314000226
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
248 services234 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
71 services70 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
56 services56 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
55 services28 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
48 services48 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
45 services44 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40509 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAYLOR H PATRICK MD
Family Medicine
245 FOUNTAIN CT STE 120
LEXINGTON, KY 40509
Fayette County (859) 218-2626
CASSIDY RANIQUE RANDLE DO
Family Medicine
245 FOUNTAIN CT STE 120
LEXINGTON, KY 40509
Fayette County (859) 218-2626
MS. ERIN WILDER CHISWELL APRN
Nurse Practitioner (Family)
245 FOUNTAIN CT STE 120
LEXINGTON, KY 40509
Fayette County (859) 218-2626

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bhawan Yamraj's NPI number?

The NPI number for Bhawan Yamraj is 1043256423. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Bhawan Yamraj located?

Bhawan Yamraj practices at 245 Fountain Ct Ste 120, Lexington, KY 40509. The listed phone number is (859) 218-2626.

What is Bhawan Yamraj's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Bhawan Yamraj enrolled in Medicare?

Yes. Bhawan Yamraj is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Bhawan Yamraj accept?

Health plans from CareSource list Bhawan Yamraj as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Bhawan Yamraj affiliated with any hospitals?

According to CMS data, Bhawan Yamraj is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Bhawan Yamraj was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.